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2VE-22846-03689

2 vaccinations 2 coded responses 27 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
064 / CT
Registered
2021-03-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-15
    Dose 1 — Janssen/Johnson & Johnson
  2. 2021-03-16
    Registered in v-safe
  3. 2021-03-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-24
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-29
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-05
    Health check-in — day 21, single dose
    Feeling: Good
    Adult check-in
  12. 2021-04-12
    Health check-in — day 28, single dose
    Feeling: Good
    Adult check-in
  13. 2021-04-19
    Health check-in — day 35, single dose
    Feeling: Good
    Adult check-in
  14. 2021-04-26
    Health check-in — day 42, single dose
    Feeling: Good
    Adult check-in
  15. 2021-06-14
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  16. 2021-09-13
    Survey response — 6 months, dose 1
    MedDRA: Hypoacusis, Office visit, Pre-existing disease, Tinnitus — Feeling: Poor · Get care from a doctor or other healthcare professional
    Free text: Symptoms: I have Menderes Disease, which I have had since age 7 when I had an accident. One of the symptoms, tinnitus, which I have always had, has gotten louder and my hearing has diminished in that ear. I understand it may be related to the vaccination. · Healthcare visit (other): Office visit with 2 different hearing tests.
    MedDRA releases: 2024-11 · check-in free text available
  17. 2021-09-13
    Report sent to call center — 6 months, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  18. 2021-09-16
    Call successful
    Participant prefers to complete VAERS report online
  19. 2021-11-01
    Dose 2 — Moderna
  20. 2021-11-01
    Health check-in — day 0, dose 2
    Feeling: Good · Headache
    Adult check-in
  21. 2021-11-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy, Myalgia, Odynophagia — Feeling: Fair · Site: Swelling · Headache
    Free text: The glands in my neck are swollen, and muscles in my neck hurt. It hurts when I swallow. These symptoms are moderate to severe.
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-11-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  23. 2021-11-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  24. 2021-11-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  25. 2021-11-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  26. 2021-11-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  27. 2021-11-08
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  28. 2021-11-15
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-11-22
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  30. 2021-11-29
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  31. 2021-12-06
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  32. 2022-11-02
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-15Janssen/Johnson & Johnson
22021-11-01Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 9 — 6 months, dose 1

2021-09-13

Symptoms: I have Menderes Disease, which I have had since age 7 when I had an accident. One of the symptoms, tinnitus, which I have always had, has gotten louder and my hearing has diminished in that ear. I understand it may be related to the vaccination.
Healthcare visit (other): Office visit with 2 different hearing tests.

Release 10 — days 1–6 daily, dose 2

2021-11-02

Systemic reaction (other): The glands in my neck are swollen, and muscles in my neck hurt. It hurts when I swallow. These symptoms are moderate to severe.

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDHypoacusis · · ✓
SDPre-existing disease · · ✓
SDTinnitus · · ✓
SROLymphadenopathy · · ✓
SROMyalgia · · ✓
SROOdynophagia · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release